Organization
AMERICAN DENTAL PROFESSIONALS, S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUAN LI D.M.D. (OWNER)
(414) 257-1230
Entity
Organization
Contact information
Practice address
2300 N MAYFAIR RD, SUITE 920, WAUWATOSA, WI 53226-1505
(414) 257-1230
(414) 257-3208
Mailing address
2300 N MAYFAIR RD, SUITE 920, WAUWATOSA, WI 53226-1505
(414) 257-1230
(414) 257-3208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5001135
WI
1223G0001X
General Practice Dentistry
Primary
6488015
WI
Other
Enumeration date
01/22/2007
Last updated
06/17/2011
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